瘘管样造瘘术在结肠损伤中的应用

The application of syringoid ostomy in colon injury

目的探讨瘘管样造瘘在结肠损伤中应用的安全性和实用性。方法 21例结肠损伤病人于损伤处修整、缝合至1～2cm裂口,在剖腹探查切口外侧作与之大小对应的腹壁切口,经此口将结肠裂口拖出造瘘。再手术仅切除瘘管,显露肠管后全层纵行缝合破口并浆膜化,再缝合腹壁切口。结果除3例切口感染经换药治愈外,其余18例均甲级愈合,所有病人均未发生肠坏死、梗阻、腹膜炎、切口疝等并发症。结论结肠损伤行损伤处肠管瘘管样造瘘再手术仅切除瘘管的方法安全可靠,经济实用。

Objective To explore the safety and practice of the application of syringoid ostomy in colon injury.Methods The clinical date of 21 patients with colon injury treated with syringoid ostomy were analyzed.Results There were no complications of intestine necrosis,obstruction,peritonitis and incisional hernia.Conclusion The application of syringoid ostomy in colon injury is safe and pragmatic.